الفهرس 
Title : Effect of transcranial direct current stimulation on sensory integration and risk of falling in diabetic polyneuropathy
AbstractOnly 14 pages are availabe for public view
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Abstract
Diabetic peripheral neuropathy (DPN), presents in up to half of the people with diabetes, leading to sensory motor and autonomic impairment, and possibly increasing the risk of falling. Transcranial direct current stimulation (tDCS) modulates cortical excitability of the stimulated somatosensory cortex which in turn modifies brain functions resulting in neuroplastic changes. Purpose: To investigate effect of (tDCS) on sensory integration, risk of falling and pain intensity in patients with diabetic polyneuropathy. Subjects: Thirty patients with diabetic polyneuropathy were enrolled in this study. They were assigned randomly into two equal groups. Control group (GI) treated with designed physical therapy program and study group (GII) treated with the same physical therapy program in addition to tDCS over the somatosensory area of the left side. Treatment was conducted Three times per week for two months. Biodex balance system was used to assess sensory integration (sway index) in four sensory conditions (condition I, eye open firm surface; condition II, eye closed firm surface, condition III, eye opened foam surface; condition IV, eye closed foam surface) and risk of falling (fall index) and visual analogue scale was used to assess pain intensity pre and post treatment for both groups. Results: significant reductions of sway index in four sensory conditions, fall index and pain intensity were observed in both groups post treatment with more reduction in favor to study group (P<0.05)